Presbyterian Healthcare Services
Patient Scheduler I-ABQ
Presbyterian Healthcare Services, Rio Rancho, New Mexico, United States, 87144
Location Address
2400 Unser Blvd, Rio Rancho, New Mexico 87124, United States of America
Compensation Pay Range Minimum Offer: $15.6 Maximum Offer: $22.12
Position Patient Scheduler I-ABQ
Summary
Coordinates the encounter or episode process for patients and consumers by performing activities related to patient scheduling.
Accuracy in scheduling is paramount to performance.
Responsible for providing excellent patient experience.
Illustrates insurance contract requirement knowledge and use of tools to respond to provider network questions.
Secures prior authorization or referral in applicable situations.
Uses online tools to validate eligibility of coverage for presenting patients.
Provides comfort rounding and communicates delays with exceptional patient experience tools.
Other duties as assigned.
Type of Opportunity Full time
Job Exempt No
Job Is Based Presbyterian Rust Medical Center
Work Shift Weekday Schedule Monday-Friday (United States of America)
Responsibilities Customer Service and Caring Practices
Achieve exceptional patient experience for patients and patient families by using CARES, AIDET and EPE tools.
Addresses and attempts to appropriately resolve complaints in the moment by using key words at key times.
Manages conflict and appropriately requests the help of a supervisor when needed.
Rounds with patients waiting to ensure their comfort and informs them of delays when applicable.
Encounter Components
Performs the patient scheduling process and validates accurate patient demographics.
Guides informed dialogue with patients and patient representatives regarding in‑network coverages (respecting CDS and RDS guidelines).
Sets patient expectations regarding Prior Authorization, Referrals and out‑of‑pocket expenses.
Financial Accountabilities
Refers as appropriate to on‑site Financial Advocate, or for uninsured to the Financial Advocacy Center.
Message Management
Formulates complete and accurate telephone encounter messages and routes them to the appropriate Epic in‑basket pool to support operational aspects of patient care.
Medical Record Components
Instructs patients on the Release of Information process and ensures a fully completed ROI Form is submitted to Health Information Management for incoming or outgoing records.
Patient Relations
Comprehends quality service connection to patient satisfaction and reimbursement.
Participates in metric goals for telephone performance metrics, TSF and abandonment rate.
Performs confirmation calls when applicable to include directions and instructions as required by the visit type.
Patient Safety
Responds quickly to patients showing distress and follows guidelines set forth by the Clinic Manager to alert the clinical team.
Assists in any manner the clinic team directs.
Ensures scheduling area/office, waiting area and walkways are clear of any unnecessary items and are clean and neat.
Reports any concern that may create a safety issue.
Completes annual competency for clerical staff during a Code Blue.
Quality Improvement
Performs assigned patient care responsibilities, which may include appointment reminder calls, rescheduling and evaluating provider schedules to ensure accuracy and efficiency per guidelines.
C.A.R.E.S Behaviors
Demonstrates CARES behaviors of Collaborate, be Accountable, Respect, Engage and Serve to all whom you encounter.
Qualifications Academic Preparation
High school or equivalent.
Experience
A minimum of nine (9) months of work experience in office, healthcare or customer service environment is required.
Must pass EPIC competency for Registration at completion of Epic Clerical Training class.
Abilities
Performs appointment scheduling for patient via telephone or in person, including testing, procedures and clinician appointments.
Coordinates advanced scheduling visit types to include physicians, APCs, resources and technicians.
Passes annual competency exam for all areas of responsibility.
Attends Quarterly MSO meetings.
Attends Staff meetings.
Attends Employee Forums.
Benefits All benefits‑eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short‑term and long‑term disability, group term life insurance and other optional voluntary benefits.
Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in your personal well‑being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.
Why Work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not‑for‑profit healthcare system of nine hospitals, a statewide health plan and a growing multi‑specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees – including more than 1,600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug‑free and tobacco‑free employer with smoke‑free campuses.
We're Determined to Support New Mexico's Well‑Being | Presbyterian Healthcare Services
#J-18808-Ljbffr
Compensation Pay Range Minimum Offer: $15.6 Maximum Offer: $22.12
Position Patient Scheduler I-ABQ
Summary
Coordinates the encounter or episode process for patients and consumers by performing activities related to patient scheduling.
Accuracy in scheduling is paramount to performance.
Responsible for providing excellent patient experience.
Illustrates insurance contract requirement knowledge and use of tools to respond to provider network questions.
Secures prior authorization or referral in applicable situations.
Uses online tools to validate eligibility of coverage for presenting patients.
Provides comfort rounding and communicates delays with exceptional patient experience tools.
Other duties as assigned.
Type of Opportunity Full time
Job Exempt No
Job Is Based Presbyterian Rust Medical Center
Work Shift Weekday Schedule Monday-Friday (United States of America)
Responsibilities Customer Service and Caring Practices
Achieve exceptional patient experience for patients and patient families by using CARES, AIDET and EPE tools.
Addresses and attempts to appropriately resolve complaints in the moment by using key words at key times.
Manages conflict and appropriately requests the help of a supervisor when needed.
Rounds with patients waiting to ensure their comfort and informs them of delays when applicable.
Encounter Components
Performs the patient scheduling process and validates accurate patient demographics.
Guides informed dialogue with patients and patient representatives regarding in‑network coverages (respecting CDS and RDS guidelines).
Sets patient expectations regarding Prior Authorization, Referrals and out‑of‑pocket expenses.
Financial Accountabilities
Refers as appropriate to on‑site Financial Advocate, or for uninsured to the Financial Advocacy Center.
Message Management
Formulates complete and accurate telephone encounter messages and routes them to the appropriate Epic in‑basket pool to support operational aspects of patient care.
Medical Record Components
Instructs patients on the Release of Information process and ensures a fully completed ROI Form is submitted to Health Information Management for incoming or outgoing records.
Patient Relations
Comprehends quality service connection to patient satisfaction and reimbursement.
Participates in metric goals for telephone performance metrics, TSF and abandonment rate.
Performs confirmation calls when applicable to include directions and instructions as required by the visit type.
Patient Safety
Responds quickly to patients showing distress and follows guidelines set forth by the Clinic Manager to alert the clinical team.
Assists in any manner the clinic team directs.
Ensures scheduling area/office, waiting area and walkways are clear of any unnecessary items and are clean and neat.
Reports any concern that may create a safety issue.
Completes annual competency for clerical staff during a Code Blue.
Quality Improvement
Performs assigned patient care responsibilities, which may include appointment reminder calls, rescheduling and evaluating provider schedules to ensure accuracy and efficiency per guidelines.
C.A.R.E.S Behaviors
Demonstrates CARES behaviors of Collaborate, be Accountable, Respect, Engage and Serve to all whom you encounter.
Qualifications Academic Preparation
High school or equivalent.
Experience
A minimum of nine (9) months of work experience in office, healthcare or customer service environment is required.
Must pass EPIC competency for Registration at completion of Epic Clerical Training class.
Abilities
Performs appointment scheduling for patient via telephone or in person, including testing, procedures and clinician appointments.
Coordinates advanced scheduling visit types to include physicians, APCs, resources and technicians.
Passes annual competency exam for all areas of responsibility.
Attends Quarterly MSO meetings.
Attends Staff meetings.
Attends Employee Forums.
Benefits All benefits‑eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short‑term and long‑term disability, group term life insurance and other optional voluntary benefits.
Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in your personal well‑being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.
Why Work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not‑for‑profit healthcare system of nine hospitals, a statewide health plan and a growing multi‑specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees – including more than 1,600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug‑free and tobacco‑free employer with smoke‑free campuses.
We're Determined to Support New Mexico's Well‑Being | Presbyterian Healthcare Services
#J-18808-Ljbffr